| NPI | 1295048015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD461974) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 265160) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0077673) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2022-07-21 |